Sadly this is neither unusual nor completely in the past.
I have 2 friends supposedly who have borderline personality disorder. I completely agree it's FAR more likely to be untreated/undx PTSD, one from childhood abuse, one from a traumatic birth (which they DEFINITELY don't want to recognise as that means admitting they MAJORLY fucked up the birth!). One I suspect also has asd, her family never tried to get her any help as they saw it as her fault and pressured her to hide any "odd behaviour" (their words).
I have OCD, depression, anxiety, agoraphobia. I also have endometriosis, a spinal nerve condition, sciatic pain that predates that but made worse by it, and numerous allergies.
EVERY SINGLE ONE I've had to fight to get a diagnosis! Even when there were CLEAR physical symptoms.
Dd has a physical disability, again clear physical symptoms for 8 YEARS, smaller symptoms before that. Prior to her dx I was fighting to get her dx - I'll admit at first I though it was just clumsiness, possibly a hearing issue (affecting balance maybe) but when worse symptoms came along and I tried to get her dx I was treated as if I was being an over-reacting, paranoid attention seeking mother!
Similar to a pp when we DID finally get her referred to a specialist, specialist took one look at her (symptom free at this point but certain physical characteristics I now know are part of the condition) and was pretty sure she knew what was wrong. Investigations confirmed. She too wrote a strongly worded letter to my GP practice (the year preceding there's been a lot of classic symptoms showing up in dd) basically I guess gave them a right bollocking for ignoring us! Leaving a child in unnecessary pain and risking her becoming so disabled she could have needed crutches/frame/wheelchair (this may still unfortunately be in dds future).
I started a thread a few months back after coming across an article about how women are STILL more likely to be seen as 'neurotic' or 'hysterical' than to have concerns about ANY Symptoms taken seriously by GP's.
Women take up to 4 times longer to get a referral to a specialist - any specialist for any illness! Than a man.
I looked and found more research that found that Drs presented with EXACTLY THE SAME case history/symptoms gave DIFFERENT dx depending on if they thought the patient was male or female (also depending what they thought ethnic origin was - that's a whole other thread!)
I was pretty much shouted down as being...hysterical and paranoid!
Op is right it IS truly shocking and unacceptable but I am begging mners to recognise that it is NOT much better now. That we are STILL facing issues with getting taken seriously, getting correct dx.
Because Drs (including female Drs) are still seeing women as unnecessarily overly concerned with health matters, more 'neurotic' than male patients.
What I will say (and I hope you guys understand what I'm getting at here) is that while lobotomy has rightly been discredited and is largely discontinued, as someone with severe OCD which is believed by many experts to have a neuro-physiological element to the cause starting in the frontal lobe, I can totally understand patients suffering as I do or worse, being desperate enough to consider or even agreeing to undergo lobotomy as a potential cure. If there was a low risk, well researched surgical option for this fucking awful illness to literally be cut out of my brain? I'd definitely consider it!